Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hilltop Manor Health And Rehabilitation Center during CMS and state inspections, most recent first.
A cognitively impaired resident with dementia, agitation, and a history of wandering was previously assessed by the IDT as not being at risk for elopement and did not have elopement precautions in place. On one occasion, a visitor exited through the front door without realizing the resident followed outside, and staff later discovered the resident alone on the front porch after being missing for several minutes. An LPN and CNA participated in locating and returning the resident, and the incident revealed that supervision and elopement risk assessment were insufficient for this resident.
The facility failed to provide structured activities on weekends, affecting residents' well-being. While church services are held on Sundays, no other organized activities occur, as confirmed by the Activity Director and the Restorative CNA. Residents, including those with Major Depressive Disorder and Borderline Intellectual Functioning, expressed dissatisfaction with the lack of weekend activities.
A facility failed to maintain a clean and homelike environment by not changing a resident's dirty and stained bed linens, despite policy requirements for regular changes. Observations confirmed the linens were unchanged and unsanitary, with a nurse and the DON acknowledging the issue as a sanitization concern. The resident, who was cognitively intact, expressed a desire for her linens to be changed.
A facility failed to accurately code the MDS for a resident with Bipolar Disorder, incorrectly indicating that the resident did not have a serious mental illness as per PASRR criteria. This error was confirmed by the MDS Nurse and acknowledged by the DON, highlighting the importance of accurate MDS coding for appropriate resident care.
A facility failed to accurately submit a resident's information for the PASRR process, leading to an omission of necessary Level II evaluation. The resident, admitted with Brief Psychotic Disorder and Anxiety Disorder, had these diagnoses omitted from the PASRR intake form, which also incorrectly stated no history of mental illness or psychotropic medication use. This resulted in the resident not being referred for a Level II evaluation, as confirmed by Social Service staff.
A resident with a PICC line did not receive the required weekly dressing changes, as the dressing was last changed on 11/21/24 and the resident completed IV antibiotics on 11/29/24. The facility's policy and CDC guidelines require weekly dressing changes, but there were no orders for such changes. Both a nurse and the DON confirmed the oversight, acknowledging the potential for adverse effects.
Two residents in an LTC facility were found with medications improperly stored on their bedside tables. One resident had Travoprost eye drops without a physician's order or self-administration assessment, while another had Hydrocortisone cream without an order. Both residents were cognitively intact, and the DON confirmed the medications should have been securely stored.
A facility failed to use enhanced barrier precautions (EBP) during catheter care for a resident, as required by their policy. Two CNAs provided care without applying gowns, despite the policy's mandate for gown and glove use during high-contact activities. Interviews revealed one CNA was unaware of the lapse, while the other forgot the requirement. The Infection Control Nurse confirmed the necessity of EBP to prevent infection spread. The resident had an indwelling catheter and was admitted following genitourinary surgery.
Elopement of Cognitively Impaired Resident Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent a cognitively impaired resident with a history of wandering from exiting the building unattended. The resident had diagnoses including dementia with agitation and a BIMS score of three, indicating severe cognitive impairment. The resident had been readmitted from a geriatric psychiatric hospitalization and was known by the DON to have a history of wandering. Despite this, the interdisciplinary team had previously determined that the resident was not at risk for elopement, and no elopement interventions such as a wander guard were in place at the time of the incident. On the day of the event, a visitor observed the resident standing near the front door and exited the facility without realizing the resident followed him outside. Staff later became aware that the resident was missing, and an LPN assisted in locating the resident. A CNA ultimately found the resident outside on the front porch and returned the resident to the facility, with the investigation determining the resident had been outside unattended for approximately five minutes. Staff interviews confirmed that the resident ambulated in the halls and had not previously attempted to exit the building, and that the resident was only reassessed and provided with a wander guard after the incident.
Lack of Weekend Activities in LTC Facility
Penalty
Summary
The facility failed to provide a structured activities program seven days a week, as evidenced by the lack of organized activities on weekends for residents. During a Resident Council meeting, several residents expressed that while church services are available on Sundays, no other structured activities occur on weekends. The Activity Director confirmed that she works only Monday through Friday and leaves puzzles and coloring pages for residents to use independently on weekends. The Restorative Certified Nursing Assistant, who is responsible for facilitating activities on weekends, indicated that her duties often prevent her from organizing activities, and she does not work on Sundays. The deficiency affected five residents who attended the Resident Council meeting, all of whom are cognitively intact, as indicated by their BIMS scores. These residents include individuals with diagnoses such as Borderline Intellectual Functioning and Major Depressive Disorder. The lack of weekend activities was acknowledged by both the Activity Director and the Administrator, who recognized the potential negative impact on residents' well-being and quality of life.
Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment for a resident by not changing dirty and stained bed linens. The facility's policy requires that all linens, including mattress pads, blankets, and bedspreads, should be replaced if necessary, and pillowcases should be checked for soiling and replaced as needed. Bed linens are to be changed at least once a week. However, during an interview, a resident expressed that she could not remember the last time her bed linens were changed. Observations revealed that the bottom sheet was dingy white, the top sheet had a brown stain from a bowel movement, and the pillowcase had small dark dried stains identified as dried blood. Further observations confirmed that the bed linens remained unchanged and dirty. A registered nurse confirmed the unsanitary condition of the linens and acknowledged that they should have been changed, identifying it as a sanitization concern. The Director of Nursing also confirmed that the resident's bed linens should be changed weekly and whenever soiled, acknowledging the issue as a sanitization problem. The resident involved was cognitively intact, as indicated by a BIMS score of 15, and had been admitted to the facility earlier in the year.
Inaccurate MDS Coding for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) was coded accurately for a resident diagnosed with Bipolar Disorder. The resident was admitted to the facility with a diagnosis of mental illness as defined by the Preadmission Screening and Resident Review (PASRR) process. However, the Significant Change MDS assessment incorrectly indicated that the resident was not considered to have a serious mental illness. This discrepancy was confirmed during an interview with the MDS Nurse, who acknowledged the coding error. The Director of Nursing also agreed that the MDS should have been coded correctly, as accurate coding is essential for ensuring residents receive the necessary care.
Inaccurate PASRR Submission for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to accurately submit a resident's information for the Preadmission Screening and Resident Review (PASRR) process, specifically for a Level II evaluation. The facility's policy requires that all residents with Serious Mental Illness (SMI) receive appropriate pre-admission screenings according to Federal/State guidelines. However, upon reviewing the admission records, it was found that a resident admitted with diagnoses of Brief Psychotic Disorder and Anxiety Disorder did not have these conditions listed as active diagnoses in the PASRR intake information. Additionally, the intake form incorrectly indicated that the resident had no history of mental illness and was not taking psychotropic medications, despite orders for Divalproex sodium and hydroxyzine pamoate for behaviors and anxiety. An interview with the Social Service staff confirmed that the resident's mental health status was inaccurately depicted due to the incorrect completion of the PASRR intake information. This oversight resulted in the resident not being referred for a Level II PASRR evaluation, which is necessary to determine the appropriateness of the nursing home stay and the need for specialized mental health services. The failure to accurately complete the PASRR process highlights a significant deficiency in the facility's adherence to required screening protocols for residents with mental health conditions.
Failure to Change PICC Line Dressing as Required
Penalty
Summary
The facility failed to provide appropriate care for a resident with a Peripherally Inserted Central Catheter (PICC) line. The resident, who was admitted with a diagnosis of Diabetes Mellitus, had a PICC line inserted in the right arm with a transparent dressing dated 11/21/24. The resident completed intravenous antibiotics on 11/29/24, yet the PICC line was not removed, and the dressing had not been changed since its initial application. The facility's policy and professional standards require sterile dressing changes at least weekly, which was not adhered to in this case. During an observation, a registered nurse confirmed that there were no orders for dressing changes for the resident's PICC line, although there should have been. The Director of Nursing also confirmed the absence of an order for dressing changes and acknowledged that the dressing had not been changed as required. The failure to change the dressing every seven days, as per the facility's policy and CDC guidelines, was recognized as a deficiency that could lead to adverse effects such as infection.
Medication Storage Deficiency in LTC Facility
Penalty
Summary
The facility failed to ensure that medications were securely stored, as evidenced by medications being observed on the bedside tables of two residents. Resident #13 had a bottle of Travoprost 0.004% eye drops on her overbed table, which she stated she used herself at night. However, there was no Self-Administration of Medication assessment or physician's order for the eye drops or for self-administration. The resident was cognitively intact, with a BIMS score of 15, and had been admitted with a diagnosis of Unspecified Glaucoma. The Director of Nursing confirmed the lack of assessment and order, acknowledging that the medication should not have been on the bedside table. Similarly, Resident #22 had a box of Hydrocortisone 1% cream on his bedside table, which he used for a rash on his arm. The treatment nurse had reportedly given him the cream, but there was no physician's order for it, nor an assessment for self-administration. The resident was also cognitively intact, with a BIMS score of 15, and had been admitted with a diagnosis of End-stage Renal Disease. The Director of Nursing confirmed that the cream should not have been in the room and should have been stored in a locked medication/treatment cart.
Failure to Implement Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
The facility failed to prevent the possible transmission of infections by not using enhanced barrier precautions (EBP) during catheter care for a resident. The facility's policy, revised in August 2022, mandates the use of EBP, including targeted gown and glove use during high-contact resident care activities such as urinary catheter care. During an observation, two Certified Nurse Assistants (CNAs) provided catheter care to a resident without applying gowns, which is a requirement under the EBP policy. Interviews with the CNAs revealed that one CNA did not realize she had not used EBP, while the other admitted to forgetting the requirement, despite knowing its purpose to reduce infection risk. The Infection Control Nurse confirmed that the CNAs should have implemented EBP to protect residents at increased risk of infection. The resident involved had an active order for catheter care every shift and as needed, and was admitted to the facility following surgery on the genitourinary system, with an indwelling catheter noted in their medical records.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Union
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| J G Alexander Nursing Center | 2.2 mi | ★★★★★ | 2 | 0 |
| Neshoba County Nursing Home | 12.2 mi | ★★★★★ | 10 | 1 |
| Choctaw Residential Center | 13.6 mi | ★★★★★ | 2 | 0 |
| Bedford Care Center Of Newton | 19 mi | ★★★★★ | 1 | 0 |
| Reginald P White Nursing Facility | 24.7 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.